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BRADFORD ROGERS STURGIS RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1053636076

Individual Registrant:
 BRADFORD ROGERS STURGIS RPH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
304 WASHINGTON ST  MARION, AL 36756-2332 US
Tel: 334-683-6166  Fax: 334-683-9621

Contact information for business:
PO BOX 220  MARION, AL 36756-0220 US
Tel: 334-683-6166  Fax: 334-683-9621

Registration Information:
NPI: 1053636076
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AL9717

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
9717AL05




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